Offer summary

Qualifications:

Bachelor's degree in Business Administration, Analytics, or related field., At least 4 years of experience in business analysis, preferably in healthcare or insurance., Strong analytical, problem-solving, and communication skills., Experience with fraud detection systems and Agile methodologies..

Key responsibilities:

Define and document rule-based detection criteria for fraud patterns.

Collaborate with stakeholders to develop monitoring and detection techniques.

Test and validate detection algorithms for accuracy.

Create user documentation and support change management activities.

Job description

Who is Element?
We serve as a partner at the intersection of innovation and our clients needs, efficiently crafting meaningful user experiences for government and commercial customers. By breaking down complex problems to their fundamental elements, we create modern digital solutions that drive efficiencies, maximize taxpayer dollars, and deliver essential outcomes that serve the people.

Why Work at Element?
Make an impact that resonatesjoin our vibrant team and discover how you can improve lives through digital transformation. Our talented professionals bring unparalleled energy engagement, setting a higher standard for impactful work. Come be a part of our team and shape a better future.

Position Overview
We are looking for a driven and organized, permanentfulltime Product Manager to join our team. As a Product Manager you will bridge the gap between technical implementation and business requirements, working closely with stakeholders to define success criteria, validate results, and ensure the solution meets operational needs for monitoring, oversight, and investigation. As a member of this project, you will help ensure the delivery of healthcare to millions of Americans by monitoring and preventing fraud, waste, and abuse.

Key Responsibilities Define and document rulebased detection criteria based on industry fraud patterns.
Collaborate with stakeholders to understand existing investigation techniques and develop innovative monitoring and detection techniques.
Test and validate detection algorithm outputs for accuracy and relevance.
Create comprehensive user documentation and training materials.
Coordinate pilot implementation and user acceptance testing.
Analyze false positive rates and recommend threshold adjustments.
Document business requirements and user stories.
Facilitate stakeholder meetings and requirement gathering sessions.
Support change management and user adoption activities.

Minimal Requirements
Bachelors degree in Business Administration, Analytics, or related field.
4+ years of business analysis experience, preferably in healthcare or insurance.
Strong analytical and problemsolving skills.
Experience with fraud detection or risk management systems.
Excellent written and verbal communication skills.
Ability to translate technical concepts for nontechnical stakeholders.
Experience with requirements gathering and documentation.
Knowledge of testing methodologies and UAT processes.
Proficiency in data analysis tools and techniques.
Experience with AgileScrum methodologies.
US Citizenship or Permanent Residency required.
Must reside in the Continental US.
Depending on the government agency, specific requirements may include public trust background check or security clearance.

Preferred Qualifications
Knowledge of insurance broker regulations and compliance requirements.
Background in fraud investigation or risk assessment.
Location
Be in your Element residing anywhere in the Continental US. We are a remotefirst company based in Washington, DC.

Element is an Equal Opportunity Employer all qualified applicants will receive consideration for employment without regard to age, ancestry, race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status, marital status, protected veteran status, or any other legally protected class.

We believe in a world where solutions we build improve the lives of those who use them.